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A14264 Enchiridion medicum containing an epitome of the whole course of physicke: with the examination of a chirurgion, by way of dialogue betweene the doctor and the students. With a treatise contaning a definition of all those difenses that do chiefly affect the body of a man, and an antidotary of many excelllent and approued remedies for all diseases. Published for the benefit of young students in physicke, chirurgian, and apothecaries. Pomarius, Petrus.; Hobbes, Stephen. 1609 (1609) STC 24577; ESTC S101306 91,960 299

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satisfied mee reasonable well as concerning tumors against nature I will now examine you in some particular cures and then I wil leaue off to trouble you any farther I am now to deale with you about the pūcture of a nerue what are your intentions in the same cure Of the puncture of a nerue or sinew Stud. There is a twofold scope in the curing of a puncture of a nerue the first that we preuēt phlegmon or inflāmation for which purpose I prescribe to the sicke a thinne diet cold and dry yet notwithstanding the aire must bee hot and moist for a cold aire is very hurtfull to the sinewes and an ouer hot ayre may cause phlegmon I cause him also to lie in a soft bed placing the part softly and fitly that the body may bee quiet also if need bee I open a veine I cause him to goe freely to the stoole either by giuing a clyster or some other laxatiue medicine sit for the nature of the humors resting in the body Then I proceed to topical medicines in which I do obserue the largenes of the orifice which if I perceiue to be but little smal I delate and inlarge to the intent the matter may more freely auoid out if any thing remaine therein that I draw forth then I remoue accidents and especiall dolor and paine which I perform with somentations of wine and water wherein is boiled some flowers of comomell also I apply vnto the wound and round about oleum terebinth or oleum hypericon as hot as the patient may indure al which doe remoue the paine and auoid the matter In the beginning also it is very good to apply Emplast Auicennae framed ex farina horaij fabarum orobi of either equall parts boiled together with syrupe of vinegre and sixinium or in stead thereof new wine In like maner oleum Rutaceum partes 5. terebinth partem unam dimidiam Or this medicine following Rec. Musci quercini M. ij furfuris M. j. Oubani ℥ j. Let them be boiled in a little wine with halfe so much vinegre to the forme of a pultisse and so applied to the place Doct. Oftentimes there followeth Great dolor and pain what must be done then Stud. Then we apply fitly oleum de uitellis Ouorum or oleum terebinthmae mixt with oyle of Roses or with oleum Lumbricorum terrest Or else a cataplasme framed of crumbs of bread and milke with oyle of Roses Camomell yelks of egges and a little saffron Doct. But sometimes all these meanes will not serue to cease the exceeding paine what shift will you vse then Stud. Then if there be no remedie we flie to stupefactines as a pultisse framed with the crums of bread and papauere alb yea and if need be cum opio Or Rec. Farinae tritici ℥ ij succi foliorum hyos ℥ iij fiat puls quaecalens applicetur Doct. What if conuulsion should follow what must be done then Stud. If the patient be in danger of conuulsion or that there be conuulsion then presently we foment or anoint the head the necke the spine of the backe the shoulders and arm holes if the wound be in the hand or if the wound be in the foote wee anoint the slanckes priuities and the knees with hot oyle of lillies or cum oleo Laurino vel costino vecspicato vd oleo ex pulegio or with common oyle wherein is decocted some Castoreum or Euphorbium Doct. But what if there be inflammation how shall we remoue that Stud. In that case Guydo teacheth vs to make an Emplaster ex farina orobi fabarum hordij cum Lyxiuio syrupo acetoso coctis or with wine and a little vinegre or to make a cataplasme ex lumbricorū ℥ ij porrorum tritorum ℥ j. olei sufficienti quantitate Which must be applied hot Doct. After the generation of matter what must be then done Stud. Then to clense the wound we vse this vnguent following Rec. Farinae hordij fabarum an ℥ ss farinae lupinorum orobi an ss ij pui lumbricorum Dra. j. vinidecoctions caudae equina prassiac matricariae Q. S. Let all boile together then ad of melrosarum ℥ ij sarcocol sagap in praedict vino dissol fing Dra. j. and so make an ointment Sometimes it happeneth that through these punctures of the nerues there proceedeth exceeding putrifaction so that we are driuen to applie caustick medicines as vnguentum Aegyptiacum forrum candens and such like Of wounds in the head Doct. I will now proceed to wounds of the head tell me your method to cure those wounds Stud. For the curing of wounds in the head we prescribe to the patient a thin diet vntill such time that we be safe from inflammation and other accidents and if necessity be wee open the Cephalica veine if strength may suffer it so that a gentle clyster be first iniected We are alwaies careful to keepe the belly loose we also forbid the patient such meats as doe cause fumes and vapours and while we are curing the wound we cause the aire to be warme neither do we suffer the patient to lie vpon that side of the head that is wounded vntill such time as there flow sufficient matter Digested then we admit him to lie on that side for by that meanes shall the matter auoid more easily Doct. What if the scull be fracturde how shall we perceiue that Stud. To trie that if the wound be not large enough we open it with a raser or fit knif for that purpose in the form of the letter X. and being discouered wee applie stuphs moistned in vinegre to stay bleeding then we search diligently where the rift or scissure be there or no which being doubted of we frame a linament with the white of an egge mastich which we doe apply and at the next dressing wee obserue diligently whether the linament be drier in one place then in another which if we find so to be then we iudge vndoubtedly that there is some rift or scissure in the skull In like manner in a confusion without a wound the head being first shaued we apply the same medicine which if we perceiue to be drier in one place then in another we may then suppose that there is some fracture Or Rec. Cerae thuris Ladani an ℥ ij terebinth farinae fabarum acetising ℥ j. and so make a cataplasme which must be applied to the part that is shaued and there will appeare the same signes as before Doct. What must be done when the skull is fracturde Stud. Then if the fracture be large enough that the matter may auoid we haue no need to apply the trepan or other instument to make it larger But if it be so small that the matter cannot flow out fitly then we must make passage by some instrument and so prouide that the rough fragments of the bone may not hurt the crassa meninx wee may make way in the form of the letter X. or in the
Camomillae an M. ij Florum chamomelae Meliloti an P. j. Let al boyle in common water wherewith let the Patients feet be washed euery night the thighs hips are also to be bound to the intēt the sumes may be retracted so the paine of the head eased The feet may also be rubed with some peece of course līning cloth which may be moystned in some vinegar and salt Also for watchfulnes wee may apply this vnguent Rec. Vnguenti populeonis ℥ ss Contrae Vigilam Requies Galeni drag iij. Misce annoint the temples But if the Patient sleepe not with this meanes you may administer this potion two houres before midnight Rec. Syrupi papauoris an ℥ j. Syrup nenufaris Aquae Lactucae ℥ ij Misce bibat Also may be administred this Nasale Rec. Aquaenenufaris ℥ ss Nasale Somniserum Requiem Galenigran iij. Opij gran iiij Acctimodicum This being mixt togither wet cotten or bumbast put them into the nostrels It often times hapneth that in this tertian Feuer the reines to be inflamed to amend which we vse this vnguent Rec. Ole rosati magistri Arnoldi ℥ j. Aceti modicum Vnguentum prorenbus Misce Or we may vse vnguēto rosato santalato And thus by the helpe of Almightie God and the due administation of these medicines the cure of a cholorick or tertian Feuer shall bee effected Doct. I like this method very well let me see how you will proceed in the cure of diseases proceeding of slegme which we will comprehend vnder a quotidian Feuer let mee know your method for the cure of a quotidian Feuer Generall remedies for diseases proceeding from flegme vnder the example of a quotidian Feuer Stud. EVery Feuer that repeatith it selfe euery day may not be termed a quotidian for duplex tertiana and triplex quartana doth returne daily but the tertian with rigor and exceeding cold the quartan with horror shaking and shiuering and the quotidian with cold of the extreame parts The quotidian doth not end in 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 neither doth the fitte of the quotidian end with sweate as that of the tertain because that slegme is hardly resolued into sweats but choler is very easily and quickly also the accesse of the quotidian is wont to bee longer then that of the tertian The cause and kind of the Feuer is chiesly to be iudged from things antecedent as if the sicke were giuen to gluttony of a slegmatick constitution such a one that hath lead an idle life whether it taketh him in the winter or whether he liueth in a cold and moyste ayre or if he be a child or an old man if it be a woman or a fat man for children through much feeding old men women and fat men through the defect of nature doe gather much flegme Also the Feuer is to be adiudged from the adiuncts as if the Ab adiunctis A consequentibus heate bee felt with moysture although through putrifaction it bee some what sharpe also from the consequence as the hurt action if the pulse bee small flegme oppressing the heat both in quātitie and qualitie The Feuer is also to be adiudged by its excrements as if the vrin bee thin for so it hapneth through obstructiō because the thin matter doth onely passe away also if it bee white through rawnes and cruditie or at the length turbusēt through the permixture of some grosse humor The stools are also to be cōsidered whether they be liquid crude and fleg matick no thirst because the stomack abounding in flegme doth represse heate and dirthe which are the causes of thirst vnles it happē the slegme to be salt with putrifaction or admixion of choler And as the cure doth proceed from Art so we must be careful to distinguish the Spocies of the flegme from the effects as if it bee sharpe it prouoketh hunger if it be salt thirst if it be sweet drowsimes quia acida coquenda salsa mox vacuanda dulcis naturae committenda Therefore when we perceiue that the Feuer doth proceed from the dominatiō of flog me the first intention for the cure is to prepare a clyster fit to draw the same from the stomach intestins the forme whereof is in this order Rec. Parietariae Enemae ad pituitam Mercurialis Chamomeli Meluloti Puleqij an M. ss adde sivistantundem Hyssopi Thymi Origani Calamenthae Sem. anisi Sem. femiculian drag ij Fiat decoctio in colaturae libra vna dissolu mellis anthosati Sacchari rubri an ℥ j. Diaphaenici aut Hiaerae aut Benedictae laxatiuae drag vj. Ole chamomeli Anethiniana ℥ j. ss The humor is to be prepared with syrups de hyssopo de marrubio de absynthio de duabus de quinque radicibus de Staechade oxemebte composito Scillitico cum decocto radicum Aperientium or with the waters Apij saemiculi Asparagi petrosilins Absintbij menthae salutae afterwards must bee administred such things as doe purge slegme as Agaric Diaphaenicon Diacarthanīs or if you please wee may prepare an Apozē purging grosse slegme as Rec. Radicum aperientium or Apzema purgans pituitam Rad. enulae campanae Rad peoniae an drag ij Ilissopi Thimi Absynthij Gentianae Chamedrios Chamepitios an M. ss Seminum anisi Sem feniculi an Drag iij. Florum anthos Staechados an P j. siat decoctio In colature ℥ viij infunde bulliant agarici Drag iiij in expressione dissolue Diaphaenici Drag vj. oximelitis aut cuiusuis dictorum syrup ℥ ij fiat Apozema in ducas doses But because it happeneth sometimes that the patient cannot take a potion but Pil. purgantes puuitam had rather take pils then for that purpose may be giuen Pil. Aureae cochiae de agarico aggregatiuae of those that are lesse purging as hierae stomachicae Alephanginae which may be prescribed by themselues or which the others whose dose is Drag j. Or Rec. Massae pil aurearum an Sor. ij Pil. de hiera Cum syrupo de absynthio siant pillulae molles num vj. Or Rec. Agaricitrochiscati Sor. iiij or of the Masse of pillulae de agarico Drag j. cum syrupo De menthae vel De hyssopo siant vj. pil molles About the beginning of the cold the fit approaching it shall not be amisle to prouoke vomit to euacuace the flegme which is contained in the stomacke especially if nature shall seeme to require the same To which purpose Rec. Syrupi acctosi aut oxymèlitis simpl ℥ ij Vomitus Cum decocto corticis raphani seminis Atriplaces rapham in quo dra ss agarici bullierit Fiat potio Detur tepidè Hippocrates doth very much commend vomit in this feuer and writeth in Epidenijs that the wife of one Theotimus was perfectly cured by the same Also it is profitable to anoint the back with oile of flowerdeluce or Dil the patiēt may also vse hydromel in the decocti on wherof shal be boyled
head or by the consent of some other member or by both but the matter of the disease is either blood choler flegme or melancholy or else sometimes vapours arising from the same Achor or Furfur it is a kind of vlceration of the head like a scurffe or dandruffe and is like vnto branne or oatmeale It springeth through too much humiditie and moistnes of the braine and somtimes through melancholy or some salt humor it is not much different from Fauus which is also a kind of scaly matter in the head Phrenitis or Frenisis is the Frensie or madnes some affirme that it is bred in the pellicles of the braine called Pia mater either by inflammation or impostumation it causeth alienation of the mind and losse of memorie There is an other kind of Frensie which doth follow as accidents of some disease as with a Feuer the Plurifie and such like Lethargus 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 an other disease which doth take his name from the forgetfulnes of all things It hapneth with the alienation of the mind and a sleepines not to bee resisted It is caused of flegme which cooleth the braine ouermuch and moistneth it and therby doth prouoke sleepe it is deriued of Lethe obliuion and of argos hebetudo that is dull obliuion Caros or subeth is a depriuation of a mans sense and motion It doth differ from Lethargus because that those that be affected with the Lethargre will answere to a question demanded but those that are affected with this disease are occupied with a deep sleep and if they be stirred or pricked although they feele yet they will say nothing nor once open their eyes It is caused of a cold grosse and viscous flegmatick humor filling the braine Melancholia and mania is an alienation of the mind troubling reason and waxing foolish so that the Patient is almost besides himselfe It doth come without a wound or an vlcer either in the braine or in the marrow of the backe or in any particular sinewes Torturaoris called of Almansor contractio it is vntruly named the palsie for it is more neerer a crampe for because it doth contract the sinewes of those partes The chiefe cause of this disease springeth as of that of the Palsie or else of cold or some angry passion Spasmus or conuulsio in English the Crampe it is a disease in the which the sinewes are drawne and pluckt vp against ones will there bee of it three kindes the first is called by the Latines Distentio and is when the neck doth remaine altogether immoueable and cannot bee turned any way but must bee holden right forth the second is called in Latine Tensio ad anteriora in this disease the head and the neck bee drawne downe to the breast the third is called tensio ad posterioria in this disease the head is drawne downe backward to the back and the shoulders The causes by Hippocrates are said to be two that is fulnes and emptines of the sinewes in the body somtimes it doth come with the biting or stinging of some venemous beast some are also of opinion that the extraordinary vse of Venerie and vsed vpon a full stomack may cause this desease also debilitie and weaknes and the want of blood may be an occasion of this disease Catarrhus is a distillation of some rheumatick matter vnto the lower parts as when it doth discend to the nostrels and cause oppilation it is called Coryza or when it doth descend to the parts of the throat it is called Branchus or when it doth descend vnto the brest or to the lungs then it is called the catarrh from whence this verse doth arise Si fluit ad pectus Rheuma tuicc dico catarrhū Ad fances branchon ad nares dico coryzam The catarrh is also caused either through some outward coldnesse or heate sometimes by euaporation of meats sometimes by the smell and odor of hot and cold things by the immoderate vse of Venerie oucrmuch sleepe violent exercise or too much rest or repletion There are many other diseases which do spring from the braine as palpitatio membrorum tremor and stnpor with such other like which for breuities sake I doe omit CHAP. II. Of the affects of the eyes THe affects of the eyes are opthalmia the cataract lippitudo leucoma glaucoma Aegilops suffusiones and such like The opthalmia is an inflammation or an hot impostume in the eye It is caused of some distillation from the braine or else of the corruption of blood mixt with choler and somtimes accidentally by a stripe or blow the smoake dust the sunne c The cataract of some called suffusio is a disease in which the Patient doth imagine oftentimes that he seeth black things it is a corrupt water congealed like a curd ingendred of the humors of the eye distempered betwixt the tunicles set before the sight of the eye the Crystaline humor The causes hereof may bee a fall stroake heate cold paine by whose meanes the humor is drawne and gathered together or the cause may bee vapours and humours ascending to the braine and from thence discending to the eyes which in processe of time and by reason of cold are changed into water and in the end is become thick and congealed Lippitudo bleare-eyes it is when the vnder lidde of the eye is subuerted Rasis doeth affirme that to be lipitudo when the white of the eie is turned to rednesse It is caused of some salt humor or of superabundance of rheume with corruption of blood Leucoma a kind of webbe the which is rooted in vpon the eies The cause is a viscous humor or some rheumatick matter sometimes also it may come of a stripe or bruise Glaucoma is vsed in two senses for it is taken vnproperly for a webbe cataracte or spot which is gathered and dried round about the apple of the eye but there is a difference betweene the cataract and Glaucoma for the cataract is a collection and an heap of other humors then of those which are naturall in the eye slowing vnto it from some other place but Glaucoma is properly vsed when the crystaline humour is drie and thicke and the colour of it is greene whereupon the eyes seeme greene or pale Aegilops is a little fistula in the corner of the eie neere vnto the nose out of the which doth issue continually flegme or a thinne humor arising of some former disease as of anchilops suppurated but either not speedily opened or negligently dressed or rather it doth arise of some slimie matter or moist medicines or the aire which hath altered and rotted the bone in that part CHAP. III. Of the diseases of the eares DOlor aurium paine in the eares is caused of some through cold taken in iournying by cold winds somtimes it is caused of cold bathes and medicinall waters also it doth chance to many through hotte distemper sometimes through inflammation sometimes sharpe and biting humours doe cause paine in